| NPI | 1619485976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY T SABATINO Owner 262-240-9640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 202K00000X Phlebology |
| Enumeration Date | 2018-01-19 |
| Last Update Date | 2023-06-12 |